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[Cost accountability in primary care: list of services]
F García Cardona1, G Molins Pérez, A Farré Pradell J Martín Sánchez
1Región Sanitaria Costa de Ponent, Servei Català de la Salut, L'Hospitalet de Llobregat, Barcelona.
Objective:
To find the costs of the products in the set of offered services and the costs of Primary Care Centre services, using the costs of functioning.
Design:
Descriptive study.
Setting:
Primary Care Centres.
Participants:
Seven Primary Care Centres managed by the Catalan Institute of Health.
Measurements And Main Results:
The costs of chapters I (staff) and II (running costs) from the budget accounting of the 1993 exercise. The average costs per product of unplanned attendance on the general practitioner (768 pesetas) and paediatrician (1,152 pesetas) are lower than for general medical (3,291 pes) or paediatric (5,303) nursing. The cost of paediatrics is higher than general medicine for any type of medical attendance. Average costs for unplanned attendance at the odontologist (3,804 pes) and social worker (10,661 pes) are higher than for other professionals. Services with cost per inhabitant are, in order of precedence: paediatrics (13,343 pesetas/inhabitant), general medicine (6,401), odontology (811) and social work (292).
Conclusions:
The analysis of costs of products and services allows us to know and compare findings for different health providers.
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